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根据《2017 - 2019年国家疫苗接种计划》,社区药剂师在促进普通人群疫苗接种方面的作用:意大利西西里岛一项调查的结果

The role of the Community Pharmacist in promoting vaccinations among general population according to the National Vaccination Plan 2017-2019: results from a survey in Sicily, Italy.

作者信息

Scarpitta F, Restivo V, Bono C M, Sannasardo C E, Vella C, Ventura G, Bono S, Palmeri S, Caracci F, Casuccio A, Costantino C

机构信息

Department of Health Promotion, Mother Child Care, Internal Medicine and Excellence Specialist "G. D'Alessandro", University of Palermo, Italy.

Pharmacist, Study course in Pharmacology, University of Palermo, Italy.

出版信息

Ann Ig. 2019 Mar-Apr;31(2 Supple 1):25-35. doi: 10.7416/ai.2019.2274.

Abstract

INTRODUCTION

The 2017-2019 Italian National Vaccination Plan promotes the improvement of knowledge and attitudes of healthcare workers about vaccine prevention, in order to spread a vaccination culture among general population. Similarly to the General Practitioner, the Pharmacist represents a fundamental forefront for both patients and healthy people, also in promoting vaccine acceptance. This research aims to analyze knowledge and attitudes about vaccines of Community Pharmacists and to evaluate the burden of vaccination counselling during their work activities.

MATERIAL AND METHODS

A standardized, self-administered and previously validated questionnaire, including 5 sections and 28 items, was submitted to a sample of Community Pharmacists working in Western Sicily. The survey was carried out through an online questionnaire, that investigated socio-demographic data, knowledge and attitudes towards vaccination and the role of the Pharmacist as vaccination counselor during his work.

RESULTS

A total of 120 Pharmacists were surveyed. 99.2% of them were definitely agreed with the Regional Vaccination Schedule. A large majority (n = 114, or 95%) were fully vaccinated and have vaccinated, or would vaccinate in future, their children. According to Community Pharmacists interviewed, at least 90% of clients asked for further explanations about vaccination, and the citizens' trust towards vaccination increased (30%) or remained stable (54.2%) over time in the last 5 years. Finally, as reported by interviewed Pharmacists, a correct counselling provided by General Practitioners (GPs) and Family Pediatricians was the main boost in increasing vaccination confidence, instead of mass-media and web misinformation that has led to skepticisms among general population.

CONCLUSION

The study demonstrated the key role of the Community Pharmacist for their consumers in vaccination counselling. In future, a strong collaboration between Community Pharmacists and all the actors promoting vaccination themes (GPs, family Pediatricians, public health workers) will be essential, as well as a uniform and standardized University training on vaccination themes for all these categories.

摘要

引言

2017 - 2019年意大利国家疫苗接种计划旨在提高医护人员对疫苗预防的认识和态度,以便在普通人群中传播疫苗接种文化。与全科医生类似,药剂师对于患者和健康人群而言也是一个重要的前沿力量,在促进疫苗接种接受度方面同样如此。本研究旨在分析社区药剂师对疫苗的认识和态度,并评估他们在工作活动中进行疫苗接种咨询的负担。

材料与方法

向在西西里岛西部工作的社区药剂师样本发放一份标准化、自行填写且先前已验证的问卷,该问卷包括5个部分和28个项目。通过在线问卷进行调查,问卷内容涵盖社会人口统计学数据、对疫苗接种的认识和态度以及药剂师在工作中作为疫苗接种咨询师的角色。

结果

共对120名药剂师进行了调查。其中99.2%的人明确同意地区疫苗接种计划。绝大多数(n = 114,即95%)已完全接种疫苗,并且已经为其子女接种过疫苗,或者未来会为子女接种疫苗。据接受采访的社区药剂师称,至少90%的客户会要求对疫苗接种进行进一步解释,并且在过去5年中,公民对疫苗接种的信任度有所提高(30%)或保持稳定(54.2%)。最后,据接受采访的药剂师报告,全科医生(GP)和家庭儿科医生提供的正确咨询是提高疫苗接种信心的主要推动力,而不是导致普通人群产生怀疑的大众媒体和网络错误信息。

结论

该研究证明了社区药剂师在为消费者提供疫苗接种咨询方面的关键作用。未来,社区药剂师与所有推广疫苗接种主题的行为主体(全科医生、家庭儿科医生、公共卫生工作者)之间的紧密合作将至关重要,同时为所有这些类别提供关于疫苗接种主题的统一且标准化的大学培训也很重要。

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